Mr William Dwight Johnson, CFPMHNP | |
613 Marquette Drive, Brandon, MS 39042 | |
(601) 824-0342 | |
(601) 824-0349 |
Full Name | Mr William Dwight Johnson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 613 Marquette Drive, Brandon, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669586996 | NPI | - | NPPES |
01880504 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R857199 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Precise Clinical Neuroscience Specialists | 4880737626 | 23 |
Entity Name | Madison Rankin Simpson Mental Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063428761 PECOS PAC ID: 4284671181 Enrollment ID: O20050412001203 |
Entity Name | Precise Clinical Neuroscience Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770717449 PECOS PAC ID: 4880737626 Enrollment ID: O20100202000870 |
Mailing Address | Practice Location Address |
---|---|
Mr William Dwight Johnson, CFPMHNP Po Box 88, Brandon, MS 39043 Ph: (601) 824-0342 | Mr William Dwight Johnson, CFPMHNP 613 Marquette Drive, Brandon, MS 39042 Ph: (601) 824-0342 |
Brandy Nicole Newsome Byrd, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-824-0342 | |
Mrs. Brittany Lauren Hall, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1645 W Government St Ste F, Brandon, MS 39042 Phone: 601-829-6600 | |
Ladonna Baker Delariva, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3949 Ms-43, Brandon, MS 39047 Phone: 855-712-7627 | |
Michael George Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Pebble Hill Dr, Brandon, MS 39042 Phone: 601-941-6897 | |
Mrs. Brittany Chantriece Burage, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Avalon Way Ste C, Brandon, MS 39047 Phone: 601-573-7012 | |
Kayla Bailey Harris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1645 W Government St Ste F, Brandon, MS 39042 Phone: 601-829-6600 Fax: 601-825-1291 | |
Jasmine Arlean Blanks, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Avalon Way Ste C, Brandon, MS 39047 Phone: 601-992-9790 |